Impact of long-term glycemic variability on interdialytic weight gain in diabetic hemodialysis patients

Authors : Mustafa TOPAL, Muhammed Hasan GÜLER

Pages : 192-195

Doi:10.38053/acmj.1242127

View : 92 | Download : 100

Publication Date : 2023-07-28

Article Type : Research Paper

Abstract :Aims: Interdialytic weight gain insert ignore into journalissuearticles values(IDWG); was shown to be associated with mortality and correlated with long-term glycemic indices in diabetic hemodialysis insert ignore into journalissuearticles values(DHD); patients. The aim of this study was to investigate the association between glycemic variability insert ignore into journalissuearticles values(GV); and IDWG in DHD patients. Methods: 82 DHD patients were studied for 6 months. Six measurements of monthly predialysis glucose were used to calculate glycemic indices. The weight gain over the dry weight of the last 10 consequent hemodialysis sessions was measured for each patient to calculate IDWG. Results: IDWG was positively correlated with GV, HbA1c insert ignore into journalissuearticles values(p=0.025, r=0.247 and p=0.006, r=0.304, respectively); and inversely correlated with age insert ignore into journalissuearticles values(p=0.01, r=-0.283);. GV was positively correlated with HbA1c insert ignore into journalissuearticles values(p<0.001, r=0.638);, mean predialysis glucose insert ignore into journalissuearticles values(p<0.001, r=0.737); and negatively correlated with serum sodium insert ignore into journalissuearticles values(p=0.014, r=-271);. HbA1c and age were found to be independently related to IDWG after linear regression analysis. Conclusion: GV should be taken into account to improve IDWG in DHD patients.
Keywords : Hemodialysis, interdialytic weight gain, diabetes mellitus, glycemic variability, HbA1c, Hemodialysis, interdialytic weight gain, diabetes mellitus, glycemic variability, HbA1c, Hemodialysis, interdialytic weight gain, diabetes mellitus, glycemic variability